Doctor Name: | DEBORAH HUDSON STEWART |
NPI Number: | 1760772438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC003430 |
Business Practice Address: | 506 Tanner St Carrollton, GA - 301173304 |
Business Phone Number: | 7708340021 |
Business Fax Number: | 6786485594 |
Mailing Address: | 238 Mount Zion Church Rd, TALLAPOOSA |
State: | GA |
Postal Code: | 301762963 |
Phone Number: | 6783784696 |
Fax Number: | 6786785594 |
NPI Enumeration Date: | 04/14/2011 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC003430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |